Individual
BETH HERGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1ST DNBN ATTN: CREDENTIALS, 555221, CAMP PENDLETON, CA 92055-5221
(615) 429-9819
Mailing address
1ST DNBN ATTN: CREDENTIALS, BOX 555221, CAMP PENDLETON, CA 92055-5221
(615) 429-9819
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
32887
CA
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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